Current through Register Vol. 18, September 20, 2024
(1) The
pharmacist-in-charge shall establish written policies and procedures for the
safe and efficient distribution of drugs and provision of pharmaceutical care,
including the mechanism by which drug review will be accomplished and
documented. A current copy of such procedures must be on hand for inspection by
the Board of Pharmacy.
(2)
Automated dispensing devices must be stocked with drugs only by or under the
supervision of a registered pharmacist. At the time of removal of any drug, the
device must automatically make an electronic record indicating the date of
removal, the name, strength, and quantity of drug removed, name of the patient
for whom the drug was ordered, and the name or other identification of the
person removing the drug. These records must be maintained for a period of two
years.
(3) Drugs or
herbal/alternative food supplement products brought into an institutional
facility by a patient must not be administered, unless they can be identified
and their quality assured by a pharmacist and their use has been authorized by
the attending physician. If such drugs are not to be administered, the
pharmacist-in-charge shall develop policies and procedures for storing them for
return to the patient upon discharge or transferring them to an adult member of
the patient's immediate family.
(4) Investigational drugs must be stored in
and dispensed from the pharmacy only pursuant to written policies and
procedures.
(a) Complete information regarding
these drugs and their disposition must be maintained in the facility prior to
their initial dispensing.
(b) The
drug monograph and a signed patient consent form must be obtained and made
available in accordance with state and federal guidelines.
(5) A sample drug policy must be established
if samples are used.
(6) The safe
handling, storage, and administration of medications within jails, correctional
facilities, and detention facilities without onsite pharmacies shall be
regulated as follows:
(a) Jails, correctional
facilities, and detention facilities must have written policies and procedures
in place, written by the responsible practitioner or authority, for the safe
handling, storage, and administration of medications. Such policies shall
address security of medications, procurement, proper storage and disposal of
medications, training for those administering medication, methods for
documenting that medications were given or refused, procedures for confirming
that the inmate has ingested each medication, and the disposition of
medications at discharge. Medications brought by or with an inmate upon
admission to the jail, correctional facility, or detention facility must not be
used unless specifically authorized by a physician at the jail, correctional
facility, or detention facility or that physician's designee, and medication
identity has been confirmed by a licensed health care professional.
Prescription medications brought by an inmate from outside must be recorded on
the inmate property record. If they are not used while the patient is
incarcerated, they must be stored in a secure area until the inmate's release.
(b) Patient medications may be
transferred from one jail, correctional facility, or detention facility to
another if there is a secure method for ensuring that individual inmate
prescriptions are not tampered with between locations and that containers are
properly labeled. During transfer, medications requiring storage at room
temperature should be subjected to external temperatures no greater than 86
degrees Fahrenheit. A method of transferring refrigerated medications from one
jail, correctional facility, or detention facility to another must be addressed
in policy and procedure. Medications transferred pursuant to the above
regulations, in control of the transferring official at all time, may continue
to be used for that patient.
(c)
Drug kits supplied and maintained by a registered pharmacy may be utilized if
policies and procedures regulating their use are in place. Such drug kits will
comply with the requirements of ARM
24.174.1114.
(d) The pharmacist-in-charge is responsible
for policies and procedures for procurement, storage, and administration of
prescription medications at jails , correctional facilities, and detention
facilities without an on-site pharmacy .
AUTH:
37-7-201,
MCA IMP:
37-7-201,
37-7-307,
37-7-308,
37-7-406,
MCA
